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ACR on Air

The Evolution of Rheumatology

Jul 30, 2024
Adam J. Brown, MD, a leading voice in rheumatology and host of the Rheumination podcast, discusses the fascinating evolution of the field. He chronicles its journey from ancient understandings to a specialized discipline recognized in the 1970s. Key historical figures and treatments, including the transformation from unorthodox remedies to modern biologics, are examined. Brown also highlights the importance of storytelling in patient communication and the educational value of historical context in improving rheumatology training.
38:44

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Quick takeaways

  • Understanding the historical context of rheumatology, including the role of pivotal figures and discoveries, informs contemporary clinical practices and treatment approaches.
  • The recent focus on somatic mutations and biologic therapies highlights the evolving complexity of autoimmune diseases and the continuous need for innovative research and understanding.

Deep dives

Origins and Terminology of Rheumatology

The term 'rheumatology' stems from the historical concept of bodily 'humors' flowing to different joints, reflecting the early understanding of joint issues as imbalances. Although it has persisted over time, the term remains vague to many, leading to ongoing discussions about potentially renaming the specialty to something more descriptive, like 'inflammatology.' The evolution of rheumatology as a distinct field emerged slowly, gaining recognition as a separate board certification by the American Board of Internal Medicine in the 1970s. This period marked a shift toward categorizing diseases like rheumatoid arthritis and gout, which were previously not clearly defined in the context of autoimmune conditions.

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